National Provider Identifier Database

MOUNTAIN HOSPICE INC
Hospice Care, Community Based


Contact Information

MOUNTAIN HOSPICE INC
1002 S CRIM AVE
BELINGTON, WV26250-8203
Phone: 304-823-3922
Fax: 304-823-3926
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for MOUNTAIN HOSPICE INC

NPI Number 1548253735
Legal business name
LBN
MOUNTAIN HOSPICE INC
Authorized official DONALD TRIMBLE - (DIRECTOR OF OPERATIONS)
Entity Organization
Organization subpart No
Enumeration date 08/24/2005
Last updated 06/24/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • WV License #: 22932194
  • WV Medicaid: 0005168001
  • WV Other: 511514 PTAN

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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